Individual
MICHAEL HIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
29 TWIN PONDS DR, SEWELL, NJ 08080-2705
(609) 617-7020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00935000
NJ
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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